| NPI | 1992095194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 77798) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0081779) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2020-07-09 |