| NPI | 1508980160 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 63925) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 63925) | 
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35083574) | |
| Enumeration Date | 2007-03-19 | 
| Last Update Date | 2023-11-03 |