NPI | 1043744402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME161717) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 291470) |
207LC0200X Anesthesiology Critical Care Medicine (Licence: NJ 25MA11028900) | |
207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 323400) | |
Enumeration Date | 2017-04-12 |
Last Update Date | 2023-09-01 |