| NPI | 1376094870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA SPI458) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA F458) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-06-03 |