| NPI | 1083032163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301501879) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301501879) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-07-22 |