| NPI | 1629028261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 100770) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-28261) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-03-03 |