| NPI | 1366933673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101278898) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: VA 0101278898) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA MT216677) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-09-14 |