| NPI | 1295712164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 21813) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 39821) |
| 207L00000X Anesthesiology (Licence: MT 114691) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2022-10-18 |