| NPI | 1508092107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO161659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R1695) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2021-12-15 |