| NPI | 1508071531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2011-0702) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P3147) |
| 208600000X Surgery (Licence: NM na) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2017-10-17 |