| NPI | 1902154511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S5743) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME126554) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2023-05-31 |