| NPI | 1174665418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NM MD2022-1367) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 03401) |
| 207L00000X Anesthesiology (Licence: KY 48115) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 48115) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 366.101494) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-03-24 |