| NPI | 1992090179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q3672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041502) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2020-04-28 |