| NPI | 1558789222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61130061) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 298228-1) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-05-19 |