| NPI | 1508109455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA 60633823) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA MD60633823) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-03-21 |