| 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) | |
| 207L00000X Anesthesiology (Licence: TN 73060) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 73060) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2025-01-14 |