| NPI | 1619962156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G10816) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 031998) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2025-01-31 |