| NPI | 1194943654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 239613) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP00946) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-02-14 |