| NPI | 1902901234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M4671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 36544) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-10-15 |