| NPI | 1609119015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MN 58934) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.130748) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.130748) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 58934) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.130748) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-02-20 |