| NPI | 1538397872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2009016574) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2013-28) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2013-11-21 |