| NPI | 1336631993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61432837) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA MD61432837) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2026-03-02 |