| NPI | 1629506506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301504196) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 009100) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-12-22 |