NPI | 1508980160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AZ 63925) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 63925) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35083574) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2023-11-03 |