| NPI | 1699156505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME160312) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 11380517) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2025-11-19 |