| NPI | 1407003593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME116637) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051992) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 263046) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-08-25 |