| NPI | 1508278433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 272197) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03104) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-07-21 |