| NPI | 1104112937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 075155) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 248672) |
| 207R00000X Internal Medicine (Licence: MA 248672) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2016-06-21 |