| NPI | 1639124225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME74800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301057628) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-03-11 |