| NPI | 1578850095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX 723064) |
| Additional Taxonomies | 174400000X Specialist |
| 207L00000X Anesthesiology (Licence: NY 272259) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2021-08-26 |