| NPI | 1780004333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX R9103) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10049548) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2022-06-10 |