NPI | 1366885527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: TN 71451) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2015-00971) |
207L00000X Anesthesiology (Licence: MD D84843) | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2024-08-07 |