| NPI | 1417574658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 010987) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT020093) |
| 207R00000X Internal Medicine (Licence: PA OT020093) | |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2024-07-16 |