| NPI | 1659595247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101270627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2007-01650) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-08-10 |