NPI | 1194739623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101017171) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601003222) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-02-07 |