| NPI | 1588750079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR OR MD18046) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00030727) |
| 207L00000X Anesthesiology (Licence: CA G66262) | |
| 207L00000X Anesthesiology (Licence: AZ 31483) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |