| NPI | 1194892869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME79370) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 026136) |
| 207L00000X Anesthesiology (Licence: NY 152815) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME79370) | |
| 207Q00000X Family Medicine (Licence: FL me79370) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL me79370) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-02-27 |