| NPI | 1669678058 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 80446) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009023900) | 
| Enumeration Date | 2007-06-22 | 
| Last Update Date | 2022-06-28 |