| NPI | 1902971880 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 38119) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 222589) | 
| Enumeration Date | 2006-11-23 | 
| Last Update Date | 2010-10-14 |