| NPI | 1952578767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101017776) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 5101017776) |
| 208000000X Pediatrics (Licence: MI 5101017776) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-02-23 |