| NPI | 1407484868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT233370) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 7979) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-06-27 |