| NPI | 1144660069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 36006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R4674) |
| 208600000X Surgery (Licence: SC 36006) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-03-10 |