| NPI | 1376577239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 16692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 020647) |
| 207L00000X Anesthesiology (Licence: AK 6227) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-08-03 |