| NPI | 1366628992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME134965) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2012-00017) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-06-29 |