NPI | 1316965882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 66210) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301070704) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.142953) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA G070514) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX T7837) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-03-08 |