| NPI | 1073047932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 63186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76023) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2021-08-05 |