| NPI | 1801096813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 40665) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 40665) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-03-04 |