| NPI | 1831585629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61517099) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 10102316-1205) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2025-07-14 |