| NPI | 1972550762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-42748) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C53730) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA c53730) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MT MED-PHYS-LIC-42748) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-10-28 |