| NPI | 1558578443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 28635) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 31866) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |