| NPI | 1457646572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX q7505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10037467) |
| 207L00000X Anesthesiology (Licence: FL TRN 16182) | |
| 207L00000X Anesthesiology (Licence: FL ME119155) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2016-12-21 |