| NPI | 1356551725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD453428) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 19580) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-09-07 |