| NPI | 1629598784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NE 33880) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 33880) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-06 |