| NPI | 1255533071 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD13762) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01170) | 
| Enumeration Date | 2007-06-04 | 
| Last Update Date | 2023-05-23 |