| NPI | 1417181603 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N8249) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 252654) | 
| Enumeration Date | 2009-05-04 | 
| Last Update Date | 2022-09-22 |