NPI | 1841553922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 280739) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 280739) |
207R00000X Internal Medicine (Licence: RI LP02662) | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2020-02-03 |