| NPI | 1649313669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME106732) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60021613) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-12-19 |