| NPI | 1275915225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 20430) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 277556) |
| 207L00000X Anesthesiology (Licence: CA A169891) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2022-04-11 |