| NPI | 1609033810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P0399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0399) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2016-10-21 |