| NPI | 1578585774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 2695) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 002695) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-10-27 |