| NPI | 1669480018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61236828) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD23399) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-03-29 |