| NPI | 1548395205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX G3123) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX G3123) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-06-28 |