| NPI | 1649412842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 47317) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 54739-20) |
| 207L00000X Anesthesiology (Licence: NM MD2013-0165) | |
| 207L00000X Anesthesiology (Licence: HI 17396) | |
| 207L00000X Anesthesiology (Licence: CA 130370) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2020-11-19 |