| NPI | 1073856555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 94529) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 284666) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-09-23 |