| NPI | 1417080086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX F3797) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX TEXAS F3797) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-03-02 |