| NPI | 1912114794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N6494) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2006-16564) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-11-02 |