| NPI | 1194189035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U6699) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 285753) |
| 207L00000X Anesthesiology (Licence: FL ME158782) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-02-03 |