| NPI | 1568775856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC 201793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196744) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2011-08-10 |