| NPI | 1679402176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL MFC1985) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 1985) |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-06-24 |