| NPI | 1821079104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 76839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 76839) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 76839) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |