| NPI | 1184695884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 203978-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 203978-1) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-08-30 |