| NPI | 1023376399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 70593) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 70593) |
| 208D00000X General Practice (Licence: TN 54838) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2022-11-14 |