| NPI | 1801057658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME102001) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 36578) |
| 207L00000X Anesthesiology (Licence: ME MD30321) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WV 36578) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2026-06-26 |