NPI | 1659726404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA 173200) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.133140) |
207L00000X Anesthesiology (Licence: SC 91934) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.133140) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.133140) | |
Enumeration Date | 2016-04-29 |
Last Update Date | 2024-06-27 |