NPI | 1851549604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA MT230480) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60372031) |
207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CO DR.0064924) | |
Enumeration Date | 2008-09-05 |
Last Update Date | 2024-05-31 |