| NPI | 1346878659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301511289) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 85775) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-10-14 |