| NPI | 1376788125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042.0012822) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-18800) |
| 207L00000X Anesthesiology (Licence: CO 51984) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2014-02-20 |