| NPI | 1962025312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT220569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220569) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-06-24 |