| NPI | 1053751743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME156013) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 56514) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-07-21 |