| NPI | 1013368265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME145685) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 246322) |
| 207R00000X Internal Medicine (Licence: MA 267895) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-11-14 |