| NPI | 1487975504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2015-00732) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101018838) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-09-17 |