| NPI | 1245529643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 129077.) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME131085) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-04-05 |