| NPI | 1174410534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2025023097) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MO 2025023097) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2026-09-28 |