| NPI | 1003102567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A136630) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 55214) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2018-10-27 |