| NPI | 1336399690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 292541) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD164122) |
| 207R00000X Internal Medicine (Licence: MA 236974) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-06-29 |