| NPI | 1679004485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA MD61173747) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61173747) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-07-20 |