| NPI | 1962061424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1013218) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 1013218) |
| 207R00000X Internal Medicine (Licence: PA MT218007) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-07-08 |