| NPI | 1962765198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 266131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252195) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2016-07-13 |