| NPI | 1639559156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 296992) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT209294) |
| 207R00000X Internal Medicine (Licence: PA MT209294) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-07-13 |