| NPI | 1265849160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 64622) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 64622) |
| 208600000X Surgery (Licence: NC 201155) | |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2021-04-20 |