| NPI | 1568565067 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 276590)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A87890)  | 
| 207L00000X Anesthesiology (Licence: WA MD60085893)  | |
| Enumeration Date | 2006-09-07 | 
| Last Update Date | 2014-10-24 |