| NPI | 1639467541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 277665) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 17430) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2025-01-08 |