| NPI | 1134413552 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S7128) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 258952) | 
| Enumeration Date | 2011-06-02 | 
| Last Update Date | 2022-03-02 |