| NPI | 1578959839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX T8613) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD471268) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-10-27 |