| NPI | 1881805034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N0852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N0852) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX N0852) | |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2024-09-20 |