| NPI | 1720492259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO CDRH.0062592) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2018020868) |
| 207L00000X Anesthesiology (Licence: KS 04-45779) | |
| 207L00000X Anesthesiology (Licence: OK 30647) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-03-02 |