NPI | 1710340617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.137071) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T1124) |
208D00000X General Practice (Licence: VA 0101263217) | |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-12-07 |