| NPI | 1053362525 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5622) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 230141-1) | 
| Enumeration Date | 2006-05-12 | 
| Last Update Date | 2020-08-24 |