| NPI | 1255967295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME182687) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 31966) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2026-06-29 |