| NPI | 1801812029 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX K9650) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2003000091) | 
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2003000091) | |
| Enumeration Date | 2006-07-14 | 
| Last Update Date | 2014-04-21 |