| NPI | 1104175553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R2501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2012018829) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2022-04-08 |