| NPI | 1992030399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101025552) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101025552) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |