| NPI | 1508170457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 82882) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 48313) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2020-12-10 |