| NPI | 1609123611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD461323) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT213216) |
| 207R00000X Internal Medicine (Licence: RI LP02591) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-10-05 |