| NPI | 1750402467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 63717) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301085244) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301085244) | |
| 208000000X Pediatrics (Licence: MI 4301085244) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-02-22 |