| NPI | 1376963777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S2959) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60861939) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2021-06-11 |