| NPI | 1164368379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 3020939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 3020939) |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |