NPI | 1720511876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WA MD61425890) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 61425890) |
208000000X Pediatrics (Licence: WA MD61425890) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2023-09-28 |