| NPI | 1881902856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 201400819) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PR 28224) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2020-12-29 |