| NPI | 1205413028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12984941-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT235969) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-06-10 |