| NPI | 1265574461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 3724) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2014025191) |
| 207L00000X Anesthesiology (Licence: MD D0068983) | |
| 207L00000X Anesthesiology (Licence: CO CDRH.0068942) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-03-28 |