| NPI | 1548603095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: KY 51836) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: KY TP832) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2023-08-29 |