| NPI | 1679135768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2023033767) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME162389) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-11-17 |