| NPI | 1376954602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD192965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 167885) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2019-08-15 |