| NPI | 1144457524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8663) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 240952) |
| 207L00000X Anesthesiology (Licence: MA 249638) | |
| 207R00000X Internal Medicine (Licence: MA 240952) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2020-04-30 |