| NPI | 1861625949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P2754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 047197) |
| 207L00000X Anesthesiology (Licence: WV 24765) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2020-05-05 |