| NPI | 1073801791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX R4569) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A131329) |
| 207L00000X Anesthesiology (Licence: TX R4569) | |
| 208000000X Pediatrics (Licence: TX BP10039674) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2022-03-08 |