| NPI | 1508030651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD28956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 63518691205) |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2012-01-13 |