| NPI | 1801059761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT191284) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 112411) |
| 207L00000X Anesthesiology (Licence: NY 261633-1) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2014-09-16 |