| NPI | 1760846562 |
|---|---|
| Former Name | LILLIAN JANETH ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V3232) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.069545) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2025-01-16 |