| NPI | 1619996782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 075789) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00030229) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-01-29 |