| NPI | 1386062065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2019026825) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2019026825) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-08-01 |