| NPI | 1922568526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V5108) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2022-1469) |
| 207L00000X Anesthesiology (Licence: CA A192167) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-09-10 |