| NPI | 1366608010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 53204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2012-00257) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-03-29 |