| NPI | 1174777379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 257759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 257759) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2022-03-25 |