| NPI | 1730354507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD451023) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 6805126-1205) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-06-07 |