| NPI | 1255770566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 270414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256329) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2017-11-16 |