| NPI | 1104056423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX P3213) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P3213) |
| 208000000X Pediatrics (Licence: TX P3213) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX P3213) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2018-08-14 |