| NPI | 1245261569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD448290) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 21492) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-04-22 |