| NPI | 1043458102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4351053697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 46813) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2024-07-04 |