| NPI | 1548496649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R0211) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT195405) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2020-07-14 |