| NPI | 1952743734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 032.0133798) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 9178727-1204) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-07-31 |