| NPI | 1619165321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N6110) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX N6110) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-07-16 |