| NPI | 1760821169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R1823) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL UO 3703) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2017-03-15 |