| NPI | 1801276993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 25762) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 273529) |
| 207R00000X Internal Medicine (Licence: MA 263245) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2024-07-05 |