| NPI | 1093719478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 218480) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07524800) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2013-07-29 |