| NPI | 1063443828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K1611) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX K1611) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-06-25 |