| NPI | 1366737959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q9378) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: TX Q9378) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2026-01-18 |