| NPI | 1821195991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00038854) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00038854) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-11-20 |