| NPI | 1083028104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 259419) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0068819) |
| 207R00000X Internal Medicine (Licence: MA L-259419) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-08-02 |