| NPI | 1639111602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D40262) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D40262) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D40262) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-04-08 |