| NPI | 1265690705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OR MD163472) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NY 258608) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CT 045365) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2018-03-17 |