| NPI | 1023546553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 41099) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL41099) |
| 207L00000X Anesthesiology (Licence: GA 96112) | |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2023-07-10 |