| NPI | 1801003785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD463026) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N9089) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TX N9089) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA MD463026) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-03-17 |