| NPI | 1013169671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CT 55978) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 55978) |
| 174400000X Specialist (Licence: PA MT 193310) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2017-01-04 |