| NPI | 1689932782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301110844) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME129171) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2017-08-02 |