| NPI | 1306158746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD438628) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD438628) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OK 27763) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |