| NPI | 1831502343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 277497) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042-0014456) |
| 207R00000X Internal Medicine (Licence: MA 259866) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2019-09-05 |