| NPI | 1619524675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 006984) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 962382) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-08-06 |