| NPI | 1558544551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD201845) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 51118) |
| 207L00000X Anesthesiology (Licence: GA 060920) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2021-03-09 |