| NPI | 1962746081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A134999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 132305) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2022-03-15 |