| NPI | 1801862453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 23517) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD032640E) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-09-08 |