| NPI | 1992125835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 5101027871) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 1425) |
| 207L00000X Anesthesiology (Licence: MI 5101027871) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2025-06-30 |