| NPI | 1629066154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042.0014182) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 9300390) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2018-12-05 |