| NPI | 1972639680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: SC 38643) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 38643) |
| 207L00000X Anesthesiology (Licence: MA 240300) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-06-02 |