| NPI | 1790047595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN MD57664) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 254977) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2022-09-12 |