| NPI | 1659714046 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 290875) | 
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 288998) | 
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 290875) | |
| Enumeration Date | 2013-04-16 | 
| Last Update Date | 2022-01-31 |