| NPI | 1619117694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR 173868) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 244288-1) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2016-06-24 |