| NPI | 1609396159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12227328) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10061458) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-05-11 |