| NPI | 1245275585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME0053615) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME0053615) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME0053615) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-08 |