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 |