| NPI | 1962639286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60850542) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 258669-1) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2018-08-21 |