| NPI | 1538579933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S5982) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2018-00578) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-06-29 |