| NPI | 1134565575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX R8250) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 226290) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2018-11-20 |