| NPI | 1073603544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME174291) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 14999) |
| 207L00000X Anesthesiology (Licence: AR E-3838) | |
| 207L00000X Anesthesiology (Licence: TX V8551) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-07-30 |