| NPI | 1730562562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 279222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03521) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-05-10 |