| NPI | 1720665763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2025030990) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2025030990) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-07-23 |