| NPI | 1770997066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 64566) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S1382) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2021-10-05 |