| NPI | 1912343153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA OT015187) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT015187) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2022-07-21 |