| NPI | 1912224700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S4755) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D72594) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101252851) | |
| 207L00000X Anesthesiology (Licence: PA MT191339) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2020-05-05 |