| NPI | 1629256581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 12975) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME101840) |
| 207L00000X Anesthesiology (Licence: IL 1250) | |
| 207L00000X Anesthesiology (Licence: OR MD195850) | |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2022-07-15 |