| NPI | 1962640722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 046574) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CT 046574) |
| Enumeration Date | 2009-01-31 |
| Last Update Date | 2013-06-11 |