| NPI | 1295149128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX S7100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 259913) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-06-22 |