| NPI | 1063822385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME132659) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 85292-20) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2025-06-10 |