| NPI | 1508210907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3867) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10056392) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2026-02-06 |