| NPI | 1629658455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 206638) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 206638) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-08-12 |