| NPI | 1669729216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA md 00017095) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA md00017095) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |