| NPI | 1962491894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9801334) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD067636L) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2022-10-20 |