| NPI | 1326272055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NY 300139) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OK 32732) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CA A108347) | |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2020-05-06 |