| NPI | 1457771784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 99046) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T1214) |
| 207L00000X Anesthesiology (Licence: SC 36951) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-03-13 |