| NPI | 1639299043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301088259) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301088259) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-01-08 |