| NPI | 1104146935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 257186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02000) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-03-30 |