| NPI | 1720493919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 51586) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R8491) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-11-25 |