NPI | 1659714046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 290875) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 288998) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 290875) | |
Enumeration Date | 2013-04-16 |
Last Update Date | 2022-01-31 |