| NPI | 1679851703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS017346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014029) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2019-03-21 |