| NPI | 1962630798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2020-03170) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 51950) |
| 207L00000X Anesthesiology (Licence: DC MD043636) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-12-03 |