| NPI | 1407097801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8644) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT189342) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2020-01-15 |