| NPI | 1700145398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q7147) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10043692) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2019-04-29 |