| NPI | 1740501089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0062834) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0062834) |
| 207L00000X Anesthesiology (Licence: TX Q5256) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-07-16 |