| NPI | 1053541813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 277873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS10671) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2021-05-10 |