| NPI | 1578792636 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q5297) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD448970) | 
| Enumeration Date | 2009-07-10 | 
| Last Update Date | 2022-09-01 |