| NPI | 1962737247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2014-01663) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009015658) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-11671) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2018-11-26 |