| NPI | 1336603034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 23757) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23757) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2025-04-11 |