| NPI | 1356607741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX T9737) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA DO.000445) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2023-01-09 |