| NPI | 1699083089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U8159) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A136975) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX U8159) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2024-03-26 |