| NPI | 1639138530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101014475) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 2913) |
| 207L00000X Anesthesiology (Licence: WI 20137-875) | |
| 207L00000X Anesthesiology (Licence: CA 20A19821) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2023-06-26 |