| NPI | 1720146467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T0191) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101256976) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-10-05 |