| NPI | 1962881383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S5698) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10054447) |
| 208800000X Urology (Licence: TX BP20058089) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-07-12 |