| NPI | 1114168820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 248951-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08545800) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2016-12-11 |