| NPI | 1720349095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 47520) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 47520) |
| 207R00000X Internal Medicine (Licence: AZ R73384) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2023-01-12 |