| NPI | 1073139564 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 105082)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024041786)  | 
| Enumeration Date | 2020-06-19 | 
| Last Update Date | 2025-06-18 |