| NPI | 1508388869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 62867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213849) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2021-09-30 |