| NPI | 1053803429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-47910) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KS 04-47910) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2023017561) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2025-12-11 |