| NPI | 1740430164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 34491) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 148671) |
| 207L00000X Anesthesiology (Licence: NC 2011-01567) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2021-04-13 |