| NPI | 1285251405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V8967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT221278) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2025-08-22 |