| NPI | 1104863315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 79520) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD8804) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-01-07 |