| NPI | 1841935871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: FL ME180789) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT225348) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2026-05-19 |