| NPI | 1598146946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 1967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7461) |
| 207L00000X Anesthesiology (Licence: PA OT017347) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-06-14 |