| NPI | 1871080952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0070834) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U1120) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2023-09-08 |