| NPI | 1740285642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101226361) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200301494) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2019-03-06 |