| NPI | 1780811331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 18110) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18110) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2015-07-18 |