| NPI | 1538322599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101254922) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 26799) |
| 207L00000X Anesthesiology (Licence: KY R1679) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-03-24 |