NPI | 1194104307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.139502) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 60862) |
207L00000X Anesthesiology (Licence: OH 57.247061) | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2020-06-17 |