| NPI | 1053767582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T5236) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T5236) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2023-12-19 |