| NPI | 1629292420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 43924) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-17516) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-17516) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0043924) | |
| 207L00000X Anesthesiology (Licence: KY 43924) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-01-21 |