| NPI | 1063614956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME107326) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME107326) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2025-05-07 |