NPI | 1932134541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT211626) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC 036129) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: VA 0101267056) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2023-06-12 |