NPI | 1235405325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME160511) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 129021) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 275209) | |
Enumeration Date | 2012-03-22 |
Last Update Date | 2023-01-26 |