| NPI | 1760862411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S0390) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10052778) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2025-07-18 |