| NPI | 1366700916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T1010) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD457712) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2022-07-20 |