| NPI | 1770718488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME114658) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2013-01681) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2022-04-01 |