| NPI | 1912174533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 234182) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 234182) |
| 208000000X Pediatrics (Licence: NY 234182) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-10-02 |