| NPI | 1336747427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 7394320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4351048156) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2021-11-04 |