| NPI | 1104063296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 43662) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 243633) |
| 207L00000X Anesthesiology (Licence: KY TP145) | |
| 207L00000X Anesthesiology (Licence: KY 43662) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2020-11-18 |