| NPI | 1699202275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX W2326) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2026-07-24 |