| NPI | 1245224682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 235077) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 235077-1) |
| 207L00000X Anesthesiology (Licence: WV 22549) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-01-23 |