| NPI | 1598104622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO 61942) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 2015032298) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2019-07-31 |