| NPI | 1912373929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD70049) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301107963) |
| 207L00000X Anesthesiology (Licence: MN 65205) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-11-11 |