| NPI | 1043698343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 295081) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD471493) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2025-08-01 |