| NPI | 1255667093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 60011) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 255149) |
| 207L00000X Anesthesiology (Licence: CO 53758) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2021-02-16 |