| NPI | 1912585522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME177288) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI LP05616) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-05-16 |