| NPI | 1316966260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME81310) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD044613L) |
| 207L00000X Anesthesiology (Licence: NY 181532-1) | |
| 207L00000X Anesthesiology (Licence: MD D0058439) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-06-10 |