| NPI | 1275532749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA CRNA-0024166032) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA RN-0001188430) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-02-25 |