| NPI | 1962667121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2011-00338) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD439158) |
| 207L00000X Anesthesiology (Licence: FL ME176502) | |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2025-09-24 |