| NPI | 1962600585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 006677) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 627) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2015-08-06 |