| NPI | 1043667751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 68137) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 68137) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-08-17 |