| NPI | 1699887810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 44120) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35084620) |
| 207L00000X Anesthesiology (Licence: HI 14755) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-12-28 |