| NPI | 1912194374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101252855) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 0) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2016-12-21 |