| NPI | 1619922473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 18404) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 18404) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-03-22 |