| NPI | 1639743958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 81841-21) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5151014871) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-05-30 |