| NPI | 1225405160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V7594) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301117349) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2025-10-21 |