| NPI | 1568817328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2024-03341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102205006) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2025-01-06 |