| NPI | 1518063296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MN 54756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 14939) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MN 105775) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: ID M-11772) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-10-05 |