| NPI | 1215111794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 193183) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 193183) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2012-07-17 |