| NPI | 1124220132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME108223) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301088270) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-09-14 |