| NPI | 1710416821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA DO-05298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R11005) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-02-26 |