| NPI | 1023635992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61680584) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2020017840) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2026-02-20 |