| NPI | 1801381595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MO 2019022181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018696) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-06-29 |