| NPI | 1225290869 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P7280) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT192681) | 
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX P7280) | |
| Enumeration Date | 2008-06-25 | 
| Last Update Date | 2014-03-03 |