NPI | 1245640051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX R5267) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10049543) |
Enumeration Date | 2014-05-01 |
Last Update Date | 2022-06-10 |