| NPI | 1063665511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U2253) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MA 252106) |
| 207L00000X Anesthesiology (Licence: MA 252106) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-03-21 |