| NPI | 1700266756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0087421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209203) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-01-26 |