| NPI | 1417953035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 28195) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 28195) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2014-07-21 |