| NPI | 1710054291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P7252) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA BB5204071-KB63) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-07-19 |