| NPI | 1689961567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 257221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD456400) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-11-19 |