| NPI | 1033345582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MA 240284) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT203217) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2014-04-11 |