| NPI | 1003547589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 293951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA FS2328222-063) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-07-03 |