| NPI | 1598928145 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY TP734)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 279129)  | 
| Enumeration Date | 2008-07-03 | 
| Last Update Date | 2023-05-15 |