| NPI | 1356365340 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L5939) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 44780) | 
| Enumeration Date | 2006-07-26 | 
| Last Update Date | 2022-07-21 |