| NPI | 1639304512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A7280273) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A10005) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2018-07-13 |