| NPI | 1922492206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME161454) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 278977) |
| 207L00000X Anesthesiology (Licence: MD D91582) | |
| 207L00000X Anesthesiology (Licence: NY 303290) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-06-04 |