| NPI | 1720315542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q1602) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101018501) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2024-02-14 |