| NPI | 1659959344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX W6343) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME173064) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2026-08-14 |