| NPI | 1962778456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP60651051) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 3072-321) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-01-03 |