| NPI | 1265605661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60291214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103250) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2014-10-30 |