| NPI | 1306025432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T9468) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 051209) |
| 207R00000X Internal Medicine (Licence: NY 245985) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2022-10-11 |