| NPI | 1992265524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA OP61419354) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA OP61419354) |
| 208000000X Pediatrics (Licence: WA OP61419354) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-02-04 |