NPI | 1689808339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX S0965) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-54421) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 13146) | |
207L00000X Anesthesiology (Licence: WI 13146) | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2025-06-30 |