| NPI | 1790366458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 88026-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A202059) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2026-08-27 |