| NPI | 1932493129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2017-0780) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME134256) |
| 207L00000X Anesthesiology (Licence: NM RS2014-0409) | |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2018-09-19 |