| NPI | 1881735173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD29816) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 160354) |
| 207L00000X Anesthesiology (Licence: MN 39460) | |
| 207L00000X Anesthesiology (Licence: WA 025209) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-04-11 |