| NPI | 1487814620 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME111477) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 239508) | 
| Enumeration Date | 2008-06-11 | 
| Last Update Date | 2015-02-04 |