| NPI | 1154816247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD212759) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 275295) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 275295) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 275295) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA OT019466) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 275295) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-09-27 |