| NPI | 1316367741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R2003) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.123316) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2023-01-11 |