| NPI | 1093789018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 290628) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD426617) |
| 174400000X Specialist (Licence: NY 239457-1) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-01-18 |