| NPI | 1609944701 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 238032)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: MA 174400000X)  | 
| Enumeration Date | 2006-11-30 | 
| Last Update Date | 2012-01-24 |