| NPI | 1609001890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q0215) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 254476) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX Q0215) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2024-04-03 |