| NPI | 1700442449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 13408613-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-7696) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2024-01-30 |