| NPI | 1790168904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 52245) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R3766) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-06-07 |