| NPI | 1629152517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 73318) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 39392) |
| 207L00000X Anesthesiology (Licence: NC 2000-00112) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2026-04-20 |