| NPI | 1184910622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2014-01832) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2014-01832) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-05-19 |