| NPI | 1376754465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R2690) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH023171) |
| 207L00000X Anesthesiology (Licence: MD P28827) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-07-24 |