| NPI | 1639513575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 51267) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R3248) |
| 207L00000X Anesthesiology (Licence: KY TP416) | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-07-21 |