| NPI | 1447513767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61203295) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 65571) |
| 207L00000X Anesthesiology (Licence: IA MD-44220) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-44220) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-07-21 |