NPI | 1952672602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NE 1902) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A11258) |
207L00000X Anesthesiology (Licence: NV DO1720) | |
Enumeration Date | 2012-01-25 |
Last Update Date | 2019-01-21 |