| NPI | 1992789143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD88-262) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 47441-020) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-07-20 |