| NPI | 1982915740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: FL ME115153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 57101) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: WI 57101) | |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2019-06-24 |