| NPI | 1699940429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301090072) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 4301090072) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |