| NPI | 1689106700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 290864) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 274918) |
| 207L00000X Anesthesiology (Licence: CA A159217) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-04-08 |