| NPI | 1265851141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME145304) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10049547) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME145304) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-04-07 |