| NPI | 1154528743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME110260) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 50184) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2011-07-27 |