| NPI | 1972555175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00021059) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 36475) |
| 207L00000X Anesthesiology (Licence: VA 0101031521) | |
| 207L00000X Anesthesiology (Licence: ND 10683) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-12-06 |