| NPI | 1609852904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 26714) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 44162) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2012-08-31 |