| NPI | 1659751386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 62178) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA pending) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2022-03-22 |