| NPI | 1326174152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A93082)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L9956)  | 
| 207L00000X Anesthesiology (Licence: OR MD219824)  | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A93082)  | |
| Enumeration Date | 2007-02-26 | 
| Last Update Date | 2024-09-06 |