| NPI | 1659691350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD434823) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08588400) |
| 207L00000X Anesthesiology (Licence: FL ME115372) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2021-09-01 |