| NPI | 1477080505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 56724) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC pending) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-07 |