NPI | 1801812029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX K9650) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2003000091) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2003000091) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2014-04-21 |