| NPI | 1629279955 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D74095)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 47074)  | 
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D74095)  | |
| Enumeration Date | 2007-05-31 | 
| Last Update Date | 2012-07-30 |