| NPI | 1063574382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD438177) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT185708) |
| 207L00000X Anesthesiology (Licence: PA MD438177) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-04-11 |