| NPI | 1073711685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX N4985) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS T1956) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2021-01-13 |