| NPI | 1689743676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY TP334) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U8753) |
| 282N00000X General Acute Care Hospital (Licence: NY 232777) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-02-01 |