| NPI | 1679700587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD23658) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MA 240723) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2020-08-04 |