| NPI | 1982381349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 94-11853) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT022504) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-07-01 |