| NPI | 1760458194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042.0011176) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME92475) |
| Enumeration Date | 2006-02-25 |
| Last Update Date | 2015-11-18 |