| NPI | 1104104231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 121032) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT198209) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2021-03-25 |