| NPI | 1215595574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301511199) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301511199) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-06-20 |