| NPI | 1508014846 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME154715)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60337400)  | 
| 207R00000X Internal Medicine (Licence: IL 125054155)  | |
| Enumeration Date | 2008-08-28 | 
| Last Update Date | 2022-10-05 |