| NPI | 1396784815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: TX G1253) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G1253) |
| 207L00000X Anesthesiology (Licence: TX G1253) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-09-26 |