| NPI | 1720056096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 75392) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 75392) |
| 208000000X Pediatrics (Licence: MA 75392) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 75392) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-08-20 |