| NPI | 1689700361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2010003281) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-224480) |
| 207L00000X Anesthesiology (Licence: TX BP10028719) | |
| 207L00000X Anesthesiology (Licence: KS 04-34790) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-10-18 |