| NPI | 1568753200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 53906) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 53906) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2019-09-23 |