| NPI | 1548662349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.36435) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 2018-01086) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-12-01 |