| NPI | 1710184908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD443506) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT191494) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-01-30 |