| NPI | 1255775508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 269643) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 573270) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2017-04-17 |