| NPI | 1275821902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO173813) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011015606) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2022-01-05 |