| NPI | 1124133186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 303001) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 216302) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-05-18 |