| NPI | 1720366222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q4165) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57.019108) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2024-10-02 |