| NPI | 1134199409 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T3455) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 982) | 
| Enumeration Date | 2006-01-26 | 
| Last Update Date | 2021-12-14 |