| NPI | 1801870852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX W0465) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD485538) |
| 207L00000X Anesthesiology (Licence: GA 100976) | |
| 207L00000X Anesthesiology (Licence: NC 2026-01356) | |
| 207L00000X Anesthesiology (Licence: FL ME70971) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2026-05-01 |