| NPI | 1194381996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U8453) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 2353) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2024-04-18 |