| NPI | 1508834219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA md00041798) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-04-30 |