| NPI | 1508028374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 42694) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 060775) |
| 207L00000X Anesthesiology (Licence: MO 2018008119) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2018008119) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-07-14 |