| NPI | 1972520310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME87163) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 001983) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-10-24 |