| NPI | 1629043823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301083166) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY C4662) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-10-29 |