| NPI | 1114185402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: PA MD446812) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD446812) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2020-01-21 |