| NPI | 1922677061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX 1922677061) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10074450) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-06-23 |