| NPI | 1871507962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 71625) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-55310) |
| 207L00000X Anesthesiology (Licence: NV 24340) | |
| 207L00000X Anesthesiology (Licence: CA G80797) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-09-19 |