| NPI | 1376733113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-40537) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 50903) |
| 207L00000X Anesthesiology (Licence: IA MD-40537) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2014-01-22 |