| NPI | 1376765784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2010-00962) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101243438) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-03-12 |