| NPI | 1407923840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T1714) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10065734) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 003397) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-07-28 |