| NPI | 1669764742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: SC 51988) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 54650) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 54650) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2018-05-31 |