| NPI | 1649407578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD448671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 53310) |
| 207L00000X Anesthesiology (Licence: PA MD448671) | |
| 207R00000X Internal Medicine (Licence: PA MT194659) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-06-01 |