| NPI | 1265852859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME158358) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301102700) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2022-08-12 |