| NPI | 1639479967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2014034776) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2014034776) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2018-10-09 |