| NPI | 1154695997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q5750) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011015912) |
| 207P00000X Emergency Medicine (Licence: TX Q5750) | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2016-04-04 |