| NPI | 1861838666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 65022) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-258571) |
| 207R00000X Internal Medicine (Licence: AZ R73850) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-05-05 |