| NPI | 1386028652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 209475) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 72399) |
| 207L00000X Anesthesiology (Licence: MA 284059) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2026-06-05 |