| NPI | 1629417878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 270316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256124) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-01-03 |