| NPI | 1518255231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 291739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200508) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2018-03-17 |