| NPI | 1063565489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 222389) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 222389) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2014-07-28 |