| NPI | 1558693069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0446670) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2019009728) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2026-03-19 |