NPI | 1700308301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME151457) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 32902R) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2021-08-24 |