| NPI | 1912123209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M6331) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: ID M6631) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: ID M6631) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-05-17 |