| NPI | 1073821914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 273938-1) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NY 273938-1) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-12-03 |