NPI | 1417477068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MI 4301509522) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD475892) |
207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA MD475892) | |
Enumeration Date | 2017-06-25 |
Last Update Date | 2023-09-07 |