| NPI | 1780856765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD431477) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD 2008 0269) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2023-11-29 |