| NPI | 1558639609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME154140) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301098181) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2022-05-24 |