| NPI | 1902992860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M3803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-127723) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-03-09 |