| NPI | 1730214792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2003-0696) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK MD15833) |
| 207L00000X Anesthesiology (Licence: AZ 34451) | |
| 207L00000X Anesthesiology (Licence: CA G40055) | |
| 207L00000X Anesthesiology (Licence: WA MD0004661) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |