| NPI | 1265693220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301104907) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 81159) |
| 207L00000X Anesthesiology (Licence: KY C4728) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2025-10-28 |