| NPI | 1164435343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD419245) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD419245) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD419245) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-04-17 |