| NPI | 1518100361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD168270) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 56503) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-01-15 |