| NPI | 1386868222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA TD60300320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD435339) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-09-19 |