| NPI | 1306336540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U1545) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2022-02310) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-10-12 |