| NPI | 1265614051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D76358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226675) |
| 207L00000X Anesthesiology (Licence: VA 0101252217) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2019-07-29 |