| NPI | 1275521908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VT 0420007609) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042-0007609) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2012-02-09 |