| NPI | 1629243381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61176126) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P6927) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P6927) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD61176126) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2021-08-08 |