| NPI | 1114108552 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME96171) | 
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME96171) | 
| Enumeration Date | 2007-11-14 | 
| Last Update Date | 2015-08-13 |