| NPI | 1417395294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2014014261) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2025-02650) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2025-07-29 |