| NPI | 1285795955 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5004)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT185999)  | 
| Enumeration Date | 2006-12-13 | 
| Last Update Date | 2020-08-25 |