| NPI | 1477083574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 89410) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 41045) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-10-04 |