| NPI | 1235263773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 6699) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00030492) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |