| NPI | 1366654923 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD210380)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD165322)  | 
| 207L00000X Anesthesiology (Licence: MI 4301110262)  | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 49142)  | |
| Enumeration Date | 2007-05-04 | 
| Last Update Date | 2022-12-24 |