| NPI | 1942496583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 65895) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 301194) |
| 207L00000X Anesthesiology (Licence: PA MD449825) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-04-29 |