| NPI | 1861684540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T1799) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD443382) |
| 207R00000X Internal Medicine (Licence: MD P21908) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-07-12 |