| NPI | 1053415638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME97430) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA081287000) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |