| NPI | 1245391150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 269877) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 289) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-05-12 |