| NPI | 1760617872 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 052901) | 
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 052901) | 
| Enumeration Date | 2009-05-19 | 
| Last Update Date | 2014-08-04 |