| NPI | 1205321270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME166419) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME166419) |
| 207R00000X Internal Medicine (Licence: PA MT216523) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-09-11 |