| NPI | 1508035320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT med-phys-lic-99462) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60264619) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2021-12-07 |