| NPI | 1194162040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 287750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA Mt204277) |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2022-07-21 |