| NPI | 1578564217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G68831) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 8311) |
| 207L00000X Anesthesiology (Licence: HI 11875) | |
| 207L00000X Anesthesiology (Licence: WI 102085-875) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2024-08-15 |