| NPI | 1629369780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-42690) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 5504) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2015-08-11 |