| NPI | 1235141722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 251835) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML20008650) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2015-03-24 |