| NPI | 1811984578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 25651) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IA 25651) |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2007-12-04 |