| NPI | 1912360132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 20168) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 2016) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-09-28 |