| NPI | 1669706818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS22605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 24971) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2025-09-30 |