| NPI | 1609161074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 16479) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME123758) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2016-09-12 |