| NPI | 1245348325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 240133) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 240133) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2021-05-10 |