| NPI | 1871537712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2004-0684) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A77947) |
| 207L00000X Anesthesiology (Licence: MI 4301074829) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |