| NPI | 1962742593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G42922) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G42922) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |