| NPI | 1740232867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 036000) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 5315019065) |
| 207L00000X Anesthesiology (Licence: FL ME104411) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-09-02 |