| NPI | 1386763076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA MD60057958) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT183412) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-03-22 |