| NPI | 1760583959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A8459) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM A-1762-13) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-05-03 |