| NPI | 1063469021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L5680) | 
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX L5680) | 
| Enumeration Date | 2006-05-27 | 
| Last Update Date | 2014-02-27 |