| NPI | 1578903563 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 2880) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 3230) | 
| 207L00000X Anesthesiology (Licence: MS T-2679) | |
| Enumeration Date | 2013-07-05 | 
| Last Update Date | 2022-08-08 |