| NPI | 1255506358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 113306) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ResidentPhysicianPG1) |
| 207L00000X Anesthesiology (Licence: NY 263970-1) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2013-09-02 |