| NPI | 1801192588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R3239) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD41664) |
| 207L00000X Anesthesiology (Licence: TN 53157) | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2025-08-21 |