| NPI | 1538470091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS017765) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 3083-321) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2025-01-17 |