| NPI | 1356339808 | 
|---|---|
| Former Name | ANNETTE ORTEGON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V1870) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 34261) | 
| Enumeration Date | 2005-10-10 | 
| Last Update Date | 2025-01-14 |