| NPI | 1720438369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD472944) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT212420) |
| 207L00000X Anesthesiology (Licence: TX U9697) | |
| 207R00000X Internal Medicine (Licence: MO 2016018233) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-06-13 |