| NPI | 1508187030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101269593) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT198062) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-10-15 |