| NPI | 1528158052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 15039) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 10769) |
| 207L00000X Anesthesiology (Licence: VT 0420010170) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-05-26 |