| NPI | 1720039522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P9358) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 39354) |
| 207L00000X Anesthesiology (Licence: OH 096694) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-02-27 |