| NPI | 1467886143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 307137) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 256706) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2017-10-26 |