| NPI | 1255568077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12560977-1205) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NM RS2009-0399) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2022-09-01 |