| NPI | 1376842054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P3249) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD206315) |
| 207L00000X Anesthesiology (Licence: PA MD441374) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2026-08-13 |