| NPI | 1225098973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G45380) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G45380) |
| 207L00000X Anesthesiology (Licence: NM MD2017-0151) | |
| Enumeration Date | 2006-03-26 |
| Last Update Date | 2018-08-08 |