| NPI | 1871824060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX P2165) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10034258) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2012-04-11 |