| NPI | 1215282637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 82113) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT201946) |
| 207R00000X Internal Medicine (Licence: PA MT201946) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2022-06-28 |