| NPI | 1811344260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2021025552) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021025552) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2021-11-15 |