| NPI | 1215919758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 227171) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 216991) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-02-07 |