| NPI | 1962764704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 67990) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 67990) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX R5673) | |
| 207R00000X Internal Medicine (Licence: TX R5673) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2021-05-08 |