| NPI | 1972037992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME149972) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101279004) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-11-22 |