| NPI | 1336708817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D96735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D96735) |
| 207R00000X Internal Medicine (Licence: PA MT218631) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-11-27 |