| NPI | 1710034665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 42241) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 42256) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-01-07 |