| NPI | 1487217675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2023-1153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61520790) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-07-14 |