| NPI | 1023421492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 281335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259876) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-07-30 |