| NPI | 1649452590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME164983) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 39233) |
| 207L00000X Anesthesiology (Licence: MA 254383) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2026-03-24 |