| NPI | 1245228378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME122251) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 236556) |
| 207L00000X Anesthesiology (Licence: FL ME122251) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2015-01-20 |