| NPI | 1710111604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX Q5060) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 269070) |
| 207L00000X Anesthesiology (Licence: TX Q5060) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2016-04-12 |