| NPI | 1457580995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 43890) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301092207) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2018-11-01 |