| NPI | 1598857088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 11667) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R7890) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-11-01 |