| NPI | 1801387584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2024049691) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U1520) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-06-26 |