| NPI | 1962883041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 11715222-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263502) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-11-03 |