| NPI | 1548469877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME114577) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PR 16070) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PR 16070) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2012-11-15 |