| NPI | 1184954430 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA 138503)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 138503)  | 
| Enumeration Date | 2010-01-09 | 
| Last Update Date | 2021-12-20 |