| NPI | 1124587316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102206284) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102206284) |
| 207L00000X Anesthesiology (Licence: GU DO-0142) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-02-05 |