| NPI | 1326420829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101272519) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 263295) |
| 207L00000X Anesthesiology (Licence: MA 272957) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-07-23 |