| NPI | 1588063192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 290590) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021013648) |
| 207L00000X Anesthesiology (Licence: FL ME135421) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 290590) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-09-12 |