| NPI | 1558102996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT230778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT230778) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2025-04-03 |