| NPI | 1639469059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME126751) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 279512) |
| 207L00000X Anesthesiology (Licence: FL 126751) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2016-07-28 |