| NPI | 1811450380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ R3130) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R3130) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-06-24 |