| NPI | 1245640051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX R5267) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10049543) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2022-06-10 |