| NPI | 1770809261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: SC 82092) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 164595) |
| 208000000X Pediatrics (Licence: NC 2013-01072) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2019-09-03 |