| NPI | 1679791875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME110241) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT188050) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-08-08 |