| NPI | 1396058319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 61327) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 61327) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-09-04 |