| NPI | 1265796288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 31388) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS T-3200) |
| 207L00000X Anesthesiology (Licence: IA 42008) | |
| 207Q00000X Family Medicine (Licence: IA 42008) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-08-01 |