| NPI | 1902240856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 87440) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 53501) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 53501) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2022-07-29 |