| 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 |