| NPI | 1073620704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: KY TP929) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 35590) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-01-11 |