| NPI | 1902566797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2023022054) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0000000000000) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-06-10 |