| NPI | 1083892483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 051207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247062) |
| 207L00000X Anesthesiology (Licence: PA MD442481) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2012-08-05 |