| NPI | 1912963679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD192745) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G85473) |
| 207L00000X Anesthesiology (Licence: MA 218621) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-11-18 |