| NPI | 1083144414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 272027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272027) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 272027) | |
| 208000000X Pediatrics (Licence: MA 272027) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-03-23 |