| NPI | 1831327774 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P3062) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 239832) | 
| Enumeration Date | 2009-06-30 | 
| Last Update Date | 2022-02-18 |