| NPI | 1376220335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 12544) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2025-08-27 |