| NPI | 1184985632 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A147218)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A147218)  | 
| Enumeration Date | 2012-05-31 | 
| Last Update Date | 2022-07-21 |