| NPI | 1962631853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 256171) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 8087) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AK 8087) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2014-12-11 |