| NPI | 1497199723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60832508) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2017-0258) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-09-13 |