| NPI | 1053518589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX M9392) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 19731) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2012-05-24 |