| NPI | 1881220127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 207806) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA M-15944) |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2026-06-15 |