NPI | 1407241573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2024028621) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 36097) |
207L00000X Anesthesiology (Licence: MO 2024028621) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OK 36097) | |
Enumeration Date | 2015-04-05 |
Last Update Date | 2024-08-19 |