| NPI | 1821082728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME151382) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 30336) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2021-11-01 |