NPI | 1710513700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD61688787) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61688787) |
Enumeration Date | 2020-03-21 |
Last Update Date | 2025-10-02 |