| NPI | 1962401000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA CRNA-0024058299) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA RN-0001058299) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2008-02-18 |