| NPI | 1922136431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 21607) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 21607) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-12-04 |