| NPI | 1184001422 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 64105) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 94386) | 
| Enumeration Date | 2015-05-06 | 
| Last Update Date | 2025-07-17 |