NPI | 1790170678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MO 2020036826) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2020036826) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-04-25 |