| NPI | 1902024623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A45065) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A45065) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-12-11 |