| NPI | 1104945153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2009020683) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KS 04-34653) |
| 207L00000X Anesthesiology (Licence: KS 04-34653) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-12-11 |