| NPI | 1316073091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N0047) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-224404) |
| 207L00000X Anesthesiology (Licence: PA MD455804) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-13 |