| NPI | 1114678935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 74554) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA LT000896) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-08-25 |