| NPI | 1376645598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM CRNA00756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 044788rn) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-09-02 |