| NPI | 1265691901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N7995) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME123170) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-07-27 |