| NPI | 1164927836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2022-03003) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 91462) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-07-03 |