| NPI | 1710909635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA 00001911) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS7849) |
| 207L00000X Anesthesiology (Licence: WY 6955A) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2009-05-15 |