| NPI | 1154981546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME167158) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 36199) |
| 208600000X Surgery (Licence: KY 94-10012) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-06-17 |