| NPI | 1306426689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD489920) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 394208329085) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2025-06-26 |