| NPI | 1871129742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2025-01769) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME167321) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2025-08-08 |