| NPI | 1629099551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 039648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 039648) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2014-10-06 |