| NPI | 1639329550 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D74805)  | 
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D74805)  | 
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D74805)  | |
| Enumeration Date | 2008-09-28 | 
| Last Update Date | 2016-04-16 |