| NPI | 1922232123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2017016479) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 40910) |
| 207L00000X Anesthesiology (Licence: IA R-8560) | |
| 207L00000X Anesthesiology (Licence: UT 9368236-1205) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2018-08-06 |