| NPI | 1861763989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 320796) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX V1774) |
| 207L00000X Anesthesiology (Licence: OK V1774) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2025-03-26 |