| NPI | 1174560056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME90451) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207L00000X Anesthesiology (Licence: PA MD049226L) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-10-05 |