| NPI | 1922391473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 173877) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2014-00318) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2025-08-20 |