| NPI | 1174616478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX M1117) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M1117) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-08-02 |