| NPI | 1669101135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 14249527-1205) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 39863) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-11-14 |