NPI | 1629243381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61176126) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P6927) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P6927) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD61176126) | |
Enumeration Date | 2008-04-24 |
Last Update Date | 2021-08-08 |