| NPI | 1972051589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA 0022774) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G040740) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |