| NPI | 1861473225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 38515) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME0092718) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-09-14 |