| NPI | 1053357632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME35590) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME35590) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME0035590) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-07-21 |