| NPI | 1689890816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 39536) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00039431) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-04-14 |