| NPI | 1740573153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 081493) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2017-02239) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 49387) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2019-06-19 |