| NPI | 1376518456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 256086) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD068197L) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-12-01 |