| NPI | 1356537336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61239703) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 635194-1205) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2023-11-15 |