| NPI | 1508810151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 40002) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: KY 40002) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME95244) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-07-18 |