| NPI | 1043470602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N1933) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10023847) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-08-21 |