| NPI | 1619061553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G71131) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G71131B) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-11-18 |