| NPI | 1114192465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 286562) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 225636) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2016-09-28 |