| NPI | 1770921660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 255158) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 255158) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-10-19 |