| NPI | 1861592321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60123705) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008434) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-05-10 |