| NPI | 1255837498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX BP10094014) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 70135) |
| 207Q00000X Family Medicine (Licence: FL ME164738) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-06-14 |