NPI | 1255314548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME103753) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 4651-320) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX P8865) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2022003371) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2024-12-20 |