| NPI | 1558363671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L0190) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L0190) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-05-27 |