| NPI | 1477964245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD465472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206901) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2025-08-21 |