| NPI | 1679993653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 83335) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 135180) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2019-07-26 |