| NPI | 1891795720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 235286) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI MD08166) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2012-01-18 |