| NPI | 1356628010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL 139359) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 28630-R) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2019-07-26 |