| NPI | 1588950513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO CDRH.0056931) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME123239) |
| 207L00000X Anesthesiology (Licence: FL TRN15938) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2025-09-11 |