| NPI | 1275517575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME68902) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 210768) |
| 207L00000X Anesthesiology (Licence: CA G85251) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-11-05 |