| NPI | 1588653851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2015003660) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01069303A) |
| 207L00000X Anesthesiology (Licence: OH 35065779) | |
| 207L00000X Anesthesiology (Licence: PA MD421118) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2021-05-18 |