| NPI | 1104270065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T6951) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 56753) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-08-04 |