| NPI | 1073878500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301113178) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME127693) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-07-21 |