| NPI | 1952380909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 20665) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 48081) |
| 207L00000X Anesthesiology (Licence: OH 35088765) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2012-10-08 |