| NPI | 1508438078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME176246) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT224080) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2026-02-26 |