| NPI | 1205425550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2026001257) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2020033616) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2026-03-24 |