| NPI | 1053971895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX BP10074460) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT218515) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-06-04 |