| NPI | 1962031542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME167579) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY P07337) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-06-10 |