| NPI | 1861669186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P3165) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD.203221) |
| 208D00000X General Practice (Licence: LA MD.203221) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2020-01-16 |