| NPI | 1902071814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 58836) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 233303) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2026-04-14 |