NPI | 1063640761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DEN.00010727) |
Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CO 10727) |
1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: TN 9366) | |
Enumeration Date | 2009-07-01 |
Last Update Date | 2018-11-19 |