| NPI | 1518960897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 34768) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L5244) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2012-08-01 |