| NPI | 1255314548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME103753) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX P8865) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2022003371) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2023-02-23 |