| NPI | 1679717375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: UT 13157195-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2013-01302) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 50549) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2023-01-18 |