| NPI | 1366762395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD487151C) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML60163188) |
| 207L00000X Anesthesiology (Licence: WI 4305) | |
| 207L00000X Anesthesiology (Licence: AZ 48841) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2025-08-18 |