| NPI | 1871855957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 82495) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT202471) |
| 207L00000X Anesthesiology (Licence: TX BP1-0059533) | |
| 208600000X Surgery (Licence: PA MT202471) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2021-03-18 |