| NPI | 1205362266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL 137278) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-09-08 |