| NPI | 1912901596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101039929) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2012-00483) |
| 207L00000X Anesthesiology (Licence: GA 66916) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2016-11-25 |