NPI | 1437619798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD20619) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R5172) |
207Q00000X Family Medicine (Licence: KY 56870) | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2025-04-30 |