| NPI | 1205921905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 47574) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A86702) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-01-05 |